The holder whose full name is Bayan, Ilias D.,come from Fort Wayne IN,hold the Temporary LPN Permit license(NO.99050636A) which status is Superceded.
| Name | Bayan, Ilias D. |
|---|---|
| License Number | 99050636A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |